Sr. Complex Claims Specialist, PL & Specialty Severity

Hiscox•Chicago, NY

4d•Hybrid

About The Position

Join Hiscox's dynamic and forward-thinking Claims team as a Senior Complex Claims Specialist, focusing on high-severity primary Professional Lines including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims. This individual contributor role is responsible for managing claims from inception to resolution, including all aspects of the claims and litigation process. You will liaise with external and internal business partners, such as outside experts, legal counsel, and underwriting. In addition to handling assigned claims, this role provides technical support to the overall claims team, acts as a subject matter expert, and models gold standard litigation best practices. You will use your superior knowledge and experience to achieve positive claim outcomes through investigation, negotiation, and alternative dispute resolutions, identifying appropriate matters for trial. The role also involves identifying and providing solutions for emerging exposures and trends, identifying suspected fraudulent claims, and accurately documenting claim files in compliance with company policies and regulatory authorities. You will also mentor other team members through formalized training and develop content for training sessions for the claims team and underwriters.

Requirements

10+ years of Professional Liability and/or Specialty claims handling experience
A JD from an ABA accredited law school may be considered as a supplement to claims handling experience
Proven ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation
Ability to work in a fast-paced and changing environment
Expert knowledge of coverage within the team’s specialty or focus
Expert knowledge of litigation process and negotiation skills
Proven track record of mentoring others
Excellent verbal and written communication skills
Advanced analytical skills
B.A./B.S Degree required, JD optimal
Adjuster licensing required or ability to obtain within 90 days of employment

Nice To Haves

Subject matter expertise or technical leadership in other lines of business and/or claim types
Demonstrates ability to work with minimal oversight
Demonstrates ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects across teams of lines of business
Demonstrates courage and confidence in addressing and solving difficult or severity matters with insureds, attorneys, and brokers

Responsibilities

With minimal supervision, adjusts to resolution the highest severity claims and drafts the most complex technical coverage analysis and letters required in the given claim department
Acts as subject matter expert within the team
Models gold standard for litigation best practices and file integrity
Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions, including identifying appropriate matters for trial
Identifies and provides potential solutions for emerging exposures and claims trends
Identifies suspected fraudulent claims and tracks with special investigations unit
Accurately documents claim files with all relevant correspondence and notes in compliance with company policies and applicable regulatory authorities
Mentors other team members, including providing formalized training, as needed
Develops content and conducts training for claims team and underwriters as requested

Benefits

Competitive salary and bonus (based on personal & company performance)
401(k) with competitive company matching
Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
Company paid group term life, short-term disability and long-term disability coverage
24 Paid time off days
2 Hiscox Days
10 paid holidays
Ability to purchase 5 PTO days
Paid parental leave
4 week paid sabbatical after every 5 years of service
Financial Adoption Assistance and Medical Travel Reimbursement Programs
Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
Company paid subscription to Headspace to support employees’ mental health and wellbeing
Recipient of 2024 Cigna’s Well-Being Award for having a best-in-class health and wellness program
Dynamic, creative and values-driven culture
Modern and open office spaces, complimentary drinks